Provider Demographics
NPI:1477230860
Name:TONN, CAMILA PAZ (LMSW)
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:PAZ
Last Name:TONN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6708 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4478
Mailing Address - Country:US
Mailing Address - Phone:508-667-3196
Mailing Address - Fax:
Practice Address - Street 1:6708 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4478
Practice Address - Country:US
Practice Address - Phone:508-667-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1060461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical